Individual
DR. JAMES WALTON DEBNAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1845 NETTLECREEK DR, SAINT LOUIS, MO 63131-1506
(314) 965-2899
Mailing address
1845 NETTLECREEK DR, SAINT LOUIS, MO 63131-1506
(314) 965-2899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R3273
MO
Other
Enumeration date
08/15/2006
Last updated
07/09/2007
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